European Journal of Molecular & Clinical Medicine

Abstract

Background: Acute abdominal pain is among the three most common symptoms in patients
coming to emergency departments or being admitted to hospitals. Computed tomography is
more sensitive and accurate at detecting abnormalities than plain radiography because of
its cross sectional nature. Hence; the present study was undertaken for evaluating efficacy
of computed tomography in diagnosis of acute abdomen. Materials & methods: The
present study was conducted with the target of analysing the effectiveness of computed
tomography in diagnosis of acute abdomen. Continuous monitoring of the hemodynamic
vitals was done during the contrast injection procedure. Evaluation of 20 subjects was
done who were referred to our Department with clinical presentation of acute abdomen
were enrolled. US of the abdomen were done in all the patients. Clinical and demographic
details of all the patients were obtained. A predesigned Performa was made for compiling
the radio-imaging findings. The statistical analysis of the data was done using SPSS
version 11.0 for windows. Results: Sensitivity and specificity of CT in diagnosing
Mesenteric ischemia, Gut malrotation, gut perforation and gall bladder perforation was
100 percent each. In diagnosing appendicitis, sensitivity and specificity was 90 percent
each while in diagnosing pyelonephritis, sensitivity and specificity was 80 percent and 90
percent respectively. Conclusion: For establishing the diagnoses of acute abdominal pain
patients, MDCT is an effective imaging modality